DIANE WAGNER M.D. NPI 1194812164

NPI Information

  • NPI: 1194812164
  • Provider Name: DIANE WAGNER, M.D.
  • Classification: Pathology - 207ZM0300X
  • Specialization: Medical Microbiology
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 43 SHEBAR DR
    ISLIP, NY
    ZIP 11751
  • Phone: (631) 581-1119

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NPI Details

Diane Wagner, M.D. is a medical microbiology pathology in Islip, NY. The provider is a medical microbiologist is expert in the isolation and identification of microbial agents that cause infectious disease. Viruses, bacteria and fungi, as well as parasites, are identified and, where possible, tested for susceptibility to appropriate antimicrobial agents. Diane Wagner, M.D. NPI is 1194812164. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

43 SHEBAR DR
ISLIP, NY
ZIP 11751-409
Phone: (631) 581-1119

The NPI 1194812164 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 10/9/2006 and was last updated on 9/11/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207ZB0001XPathologyBlood Banking & Transfusion Medicine182713NEW YORKNo
2207ZM0300XPathologyMedical Microbiology182713NEW YORKYes
3207ZP0102XPathologyAnatomic Pathology & Clinical Pathology182713NEW YORKNo
42084P0800XPsychiatry & NeurologyPsychiatry182713NEW YORKNo

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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